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A Randomized, Double-Blind, Single Center, Efficacy and Safety Study of Allogeneic HB-adMSCs Against COVID-19.

Primary Purpose

COVID-19

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
HB-adMSCs
Placebos
Sponsored by
Hope Biosciences Stem Cell Research Foundation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for COVID-19 focused on measuring Coronavirus, Prevention, Immune support, stem cells, mesenchymal stem cells, adipose-derived mesenchymal stem cells

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Men, and women 18 years of age or older
  • Participant works in a capacity that is characterized as high-risk or very high-risk
  • High-Risk Exposure jobs are those with high potential for exposure to known or suspected sources of COVID-19.
  • First responders, health care delivery and support staff (e.g., law enforcement, fire fighters, paramedics, doctors, nurses, and other hospital staff who must enter patients' rooms) exposed to individuals potentially having COVID-19.
  • Mortuary workers involved in preparing (e.g., for burial or cremation) the bodies of people who are known to have, or suspected of having, COVID-19 at the time of their death
  • Very High-Risk Exposure jobs are those with high potential for exposure to known or suspected sources of COVID-19 during specific medical, postmortem or laboratory procedures.
  • Health care workers (e.g., doctors, nurses, dentists, paramedics, emergency medical technicians) performing aerosol-generating procedures (e.g., intubation, cough induction procedures, bronchoscopies, some dental procedures and exams or invasive specimen collection) on known or suspected COVID-19 patients.
  • Health care or laboratory personnel collecting or handling specimens from known or suspected COVID-19 patients (e.g., manipulating cultures from known or suspected COVID-19 patients).
  • Morgue workers performing autopsies, which generally involve aerosol-generating procedures, on the bodies of people who are known to have, or suspected of having, COVID-19 at the time of their death
  • No signs or symptoms of infection, including but not limited to, body temperature >100 F and pulse rate > 100 BPM.
  • Subject provides written informed consent prior to initiation of any study procedures.--Agrees to the collection of venous blood per protocol.
  • Agrees to conformational testing for SARS-CoV-2 before end of study.

Exclusion Criteria:

  • Women who are pregnant or lactating, or those who are not pregnant but do not take effective contraceptive measures
  • Patients who are participating in other clinical trials or have intake of investigational drug within the previous 30 days;
  • Inability to provide informed consent or to comply with test requirements;
  • Any medical disease or condition that, in the opinion of the site PI or sub-investigator, precludes study participation. Including acute, subacute, intermittent or chronic medical disease or condition that would place the subject at an unacceptable risk of injury, render the subject unable to meet the requirements of the protocol, or may interfere with the evaluation of responses or the subject's successful completion of this trial.
  • Patients who have received a stem cell treatment within one year.
  • Receipt of any other SARS-CoV-2 or other experimental coronavirus vaccine at any time prior to or during the study.

Sites / Locations

  • Hope Biosciences Stem Cell Research Foundation

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Allogeneic HB-adMSCs 200MM

Allogeneic HB-adMSCs 100MM

Allogeneic HB-adMSCs 50MM

Placebo

Arm Description

Subjects assigned to this arm will receive 5 intravenous infusions of HB-adMSCs at 200 million cells/dose. Infusions will occur at weeks 0, 2, 6, 10, and 14.

Subjects assigned to this arm will receive 5 intravenous infusions of HB-adMSCs at 100 million cells/dose. Infusions will occur at weeks 0, 2, 6, 10, and 14.

Subjects assigned to this arm will receive 5 intravenous infusions of HB-adMSCs at 50 million cells/dose. Infusions will occur at weeks 0, 2, 6, 10, and 14.

Subjects assigned to this arm will receive 5 intravenous infusions of placebo intervention (saline). Infusions will occur at weeks 0, 2, 6, 10, and 14.

Outcomes

Primary Outcome Measures

Number of Participants That Were Hospitalized Due to COVID-19 Symptoms
Number of subjects that were hospitalized due to COVID-19 symptoms during the conduct of this study.
Number of Participants That Had Symptoms Associated With COVID-19
Number of subjects who experience symptoms defined to be associated with COVID-19, such as fever, shortness of breath/difficulty breathing, cough, etc.

Secondary Outcome Measures

Leukocyte Differential Count
Change from baseline in Leukocyte Differential Count
C Reactive Protein
Change from baseline in C Reactive Protein
Tumor Necrosis Factor - Alpha
Change from baseline in TNF alpha
Interleukin 6
Change from baseline in IL-6
Interleukin 10
Change from baseline in IL-10
Short Form-36 (SF-36)
The Short Form-36 Health Survey is a 36-item, patient-reported survey of patient health. The SF-36 consists of eight scaled scores (including Energy/Fatigue scores, Social Functioning, role limitations due to Physical Health, General Health, Physical Functioning, Pain, Emotional Well-Being, and Emotional Problems) which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability.
Patient Health Questionnaire (PHQ-9) Scores
The study used PHQ-9 as a depression module, which scores each of the nine DSM-IV criteria as "0" (not at all) to "3" (nearly every day) to monitor the severity of depression.

Full Information

First Posted
April 14, 2020
Last Updated
October 26, 2022
Sponsor
Hope Biosciences Stem Cell Research Foundation
Collaborators
Hope Biosciences
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1. Study Identification

Unique Protocol Identification Number
NCT04348435
Brief Title
A Randomized, Double-Blind, Single Center, Efficacy and Safety Study of Allogeneic HB-adMSCs Against COVID-19.
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Clinical Trial to Assess Efficacy and Safety of Allogeneic HB-adMSCs to Provide Immune Support Against COVID-19.
Study Type
Interventional

2. Study Status

Record Verification Date
October 2022
Overall Recruitment Status
Completed
Study Start Date
May 14, 2020 (Actual)
Primary Completion Date
May 12, 2021 (Actual)
Study Completion Date
May 12, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hope Biosciences Stem Cell Research Foundation
Collaborators
Hope Biosciences

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Hope Biosciences is conducting a research study of an investigational product called allogeneic adipose-derived mesenchymal stem cells (abbreviated as HB-adMSCs) to provide immune support against COVID-19. The study purpose is to evaluate the safety and efficacy of five IV infusions of HB-adMSCs in subjects with no signs of COVID-19.
Detailed Description
This is a Phase II, Randomized, Placebo-Controlled, Double-Blinded, Clinical Trial to Assess Efficacy of HB-adMSCs to Provide Immune Support Against Coronavirus Disease. 100 patients will be enrolled. Eligible participants are at high or very high exposure risk of contracting COVID-19. The primary endpoint of this study is to provide immune support against COVID-19, measured by the percentage of subjects that develop symptoms of COVID-19. In addition, participants will be monitored for overall clinical status by standard clinical laboratories and inflammatory markers. Participants will complete Short Form Health Survey (SF-36) and depression module (PHQ-9) questionnaires.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19
Keywords
Coronavirus, Prevention, Immune support, stem cells, mesenchymal stem cells, adipose-derived mesenchymal stem cells

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
53 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Allogeneic HB-adMSCs 200MM
Arm Type
Experimental
Arm Description
Subjects assigned to this arm will receive 5 intravenous infusions of HB-adMSCs at 200 million cells/dose. Infusions will occur at weeks 0, 2, 6, 10, and 14.
Arm Title
Allogeneic HB-adMSCs 100MM
Arm Type
Experimental
Arm Description
Subjects assigned to this arm will receive 5 intravenous infusions of HB-adMSCs at 100 million cells/dose. Infusions will occur at weeks 0, 2, 6, 10, and 14.
Arm Title
Allogeneic HB-adMSCs 50MM
Arm Type
Experimental
Arm Description
Subjects assigned to this arm will receive 5 intravenous infusions of HB-adMSCs at 50 million cells/dose. Infusions will occur at weeks 0, 2, 6, 10, and 14.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Subjects assigned to this arm will receive 5 intravenous infusions of placebo intervention (saline). Infusions will occur at weeks 0, 2, 6, 10, and 14.
Intervention Type
Biological
Intervention Name(s)
HB-adMSCs
Intervention Description
Hope Biosciences allogeneic adipose-derived mesenchymal stem cells
Intervention Type
Other
Intervention Name(s)
Placebos
Intervention Description
Saline
Primary Outcome Measure Information:
Title
Number of Participants That Were Hospitalized Due to COVID-19 Symptoms
Description
Number of subjects that were hospitalized due to COVID-19 symptoms during the conduct of this study.
Time Frame
Week 0 through Week 26 (End of Study)
Title
Number of Participants That Had Symptoms Associated With COVID-19
Description
Number of subjects who experience symptoms defined to be associated with COVID-19, such as fever, shortness of breath/difficulty breathing, cough, etc.
Time Frame
Week 0 through Week 26 (End of Study)
Secondary Outcome Measure Information:
Title
Leukocyte Differential Count
Description
Change from baseline in Leukocyte Differential Count
Time Frame
Week 0 to Week 26 (End of Study)
Title
C Reactive Protein
Description
Change from baseline in C Reactive Protein
Time Frame
Week 0 through Week 26 (End of Study)
Title
Tumor Necrosis Factor - Alpha
Description
Change from baseline in TNF alpha
Time Frame
Week 0 through Week 26 (End of Study)
Title
Interleukin 6
Description
Change from baseline in IL-6
Time Frame
Week 0 through Week 26 (End of Study)
Title
Interleukin 10
Description
Change from baseline in IL-10
Time Frame
Week 0 through Week 26 (End of Study)
Title
Short Form-36 (SF-36)
Description
The Short Form-36 Health Survey is a 36-item, patient-reported survey of patient health. The SF-36 consists of eight scaled scores (including Energy/Fatigue scores, Social Functioning, role limitations due to Physical Health, General Health, Physical Functioning, Pain, Emotional Well-Being, and Emotional Problems) which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability.
Time Frame
Week 0 to Week 26 (End of Study)
Title
Patient Health Questionnaire (PHQ-9) Scores
Description
The study used PHQ-9 as a depression module, which scores each of the nine DSM-IV criteria as "0" (not at all) to "3" (nearly every day) to monitor the severity of depression.
Time Frame
Week 0 to Week 26 (End of Study)

10. Eligibility

Sex
All
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Men, and women 18 years of age or older Participant works in a capacity that is characterized as high-risk or very high-risk High-Risk Exposure jobs are those with high potential for exposure to known or suspected sources of COVID-19. First responders, health care delivery and support staff (e.g., law enforcement, fire fighters, paramedics, doctors, nurses, and other hospital staff who must enter patients' rooms) exposed to individuals potentially having COVID-19. Mortuary workers involved in preparing (e.g., for burial or cremation) the bodies of people who are known to have, or suspected of having, COVID-19 at the time of their death Very High-Risk Exposure jobs are those with high potential for exposure to known or suspected sources of COVID-19 during specific medical, postmortem or laboratory procedures. Health care workers (e.g., doctors, nurses, dentists, paramedics, emergency medical technicians) performing aerosol-generating procedures (e.g., intubation, cough induction procedures, bronchoscopies, some dental procedures and exams or invasive specimen collection) on known or suspected COVID-19 patients. Health care or laboratory personnel collecting or handling specimens from known or suspected COVID-19 patients (e.g., manipulating cultures from known or suspected COVID-19 patients). Morgue workers performing autopsies, which generally involve aerosol-generating procedures, on the bodies of people who are known to have, or suspected of having, COVID-19 at the time of their death No signs or symptoms of infection, including but not limited to, body temperature >100 F and pulse rate > 100 BPM. Subject provides written informed consent prior to initiation of any study procedures.--Agrees to the collection of venous blood per protocol. Agrees to conformational testing for SARS-CoV-2 before end of study. Exclusion Criteria: Women who are pregnant or lactating, or those who are not pregnant but do not take effective contraceptive measures Patients who are participating in other clinical trials or have intake of investigational drug within the previous 30 days; Inability to provide informed consent or to comply with test requirements; Any medical disease or condition that, in the opinion of the site PI or sub-investigator, precludes study participation. Including acute, subacute, intermittent or chronic medical disease or condition that would place the subject at an unacceptable risk of injury, render the subject unable to meet the requirements of the protocol, or may interfere with the evaluation of responses or the subject's successful completion of this trial. Patients who have received a stem cell treatment within one year. Receipt of any other SARS-CoV-2 or other experimental coronavirus vaccine at any time prior to or during the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Thanh Cheng, MD
Organizational Affiliation
Hope Biosciences Stem Cell Research Foundation
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hope Biosciences Stem Cell Research Foundation
City
Sugar Land
State/Province
Texas
ZIP/Postal Code
77478
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Randomized, Double-Blind, Single Center, Efficacy and Safety Study of Allogeneic HB-adMSCs Against COVID-19.

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